April 2024 - Vanaprastha In Person Meeting
Vanaprastha In Person Meeting.  Please fill out a separate form for each person attending the event. This will help us with planning. 
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Last name of the person Attending
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Liability Release: In consideration for being permitted to utilize the facilities, services and programs of Chinmaya Mission Washington Regional Chapter (“CMWRC”), to include the Vanaprastha Program, I on behalf of myself and my heirs, personal representatives, assigns and next-of-kin, do hereby agree to the following:

The activities that I will be engaging in, while I am in or upon the premises of CMWRC, using any of its facilities, services, or participating in any CMWRC program or activity on and outside the CMWRC premises , may be inherently risky and potentially hazardous and I hereby accept full responsibility for, and risk of, any injury to myself or loss or damage to my property that may occur as a result thereof. These activities may include, but are not limited to, group exercise activities, visiting non-CMWRC locations, and/or consuming food prepared by or ordered by CMWRC volunteers.

I hereby release, waive and covenant not to sue CMWRC, its successors and assigns, and its directors, officers, employees, and agents (collectively, the “Releases”) from all claims, demands, damages, losses and causes of action arising or resulting from any injury to myself or loss or damage to my property that may occur while I am in or upon the premises of CMWRC or engaging in any CMWRC sponsored program or activity. 

I hereby indemnify and hold harmless the Releases from all loss, liability, damage, or cost they may incur due to my presence in or upon the premises of the CMWRC or participation in any CMWRC program or activity.

In the event of injury, I hereby authorize the Releases to provide or cause to provide such medical care and treatment to me as may be necessary and appropriate. I understand that I am solely responsible for all costs incurred for such medical care or treatment.

I give my permission to CMWRC to use indefinitely, without limitation or obligation, photographs, film footage, or tape recordings which may include my image or voice for the purpose of promoting CMWRC programs and activities.

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Any special needs or restrictions or comments? 
P.S  Food provided in Chinmaya Mission will be all Vegetarian Only
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